With Medicare spending growth over the next decade expected to exceed GDP growth,[1] the trust fund projected to be depleted in 2026,[2],[3] and evidence of persistent and pervasive waste and disparities in health care,[4],[5],[6] attention has returned to the role of payment reform in controlling Medicare spending growth and driving more efficient and equitable care delivery. There is broad agreement that progress will require a renewed push by policymakers to move provider payment in Medicare away from fee-for-service (FFS) reimbursement toward alternative payment models (APMs) in which providers receive a budget for the care of a population or an episode and gain financially from efficiencies they generate.[7],[8],[9]
From vision to design in advancing Medicare payment reform: A blueprint for population-based payments (J. Michael McWilliams, Alice Chen, and Michael E. Chernew, Brookings)
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